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SHINING STAR PLLC
NPI 1114898822
Pediatrics in Fayetteville, NC

Active since September 16, 2025CLIA 34D2342268 · Waiver
1778 METROMEDICAL DR, FAYETTEVILLE, NC 28304(833) 221-4169 Get Directions Write a Review

NPPES record last updated: March 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 19, 2026, Sep 16, 2025 (2 updates tracked since 2025).

About Shining Star Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHINING STAR PLLC (NPI 1114898822) is a healthcare organization registered as a pediatrics in Fayetteville, North Carolina and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through April 15, 2028 and lists Zulfiqar Ali, President, as its authorized official.

NPPES Registry Identity

NPI1114898822
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameSHINING STAR PLLC
Location Address1778 METROMEDICAL DRFayetteville, NC 28304-3861
Mailing Address1778 Metromedical DrFayetteville, NC 28304-3861 · (833) 221-4169
Phone(833) 221-4169
Organization SubpartNo
Authorized OfficialZulfiqar AliPresident · (833) 221-4169
Enumeration DateSeptember 16, 2025
Last NPPES UpdateMarch 19, 20262 updates tracked since enumeration
NPPES CertifiedMarch 19, 2026
✔ NPI 1114898822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1778 METROMEDICAL DR, Fayetteville, NC 28304
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2342268

Shining Star PLLC (dba Rising Sta Pediatrics) · Fayetteville, NC
Active · expires Apr 15, 2028
CLIA Number34D2342268
Laboratory TypePhysician Office
Certificate Effective DateApril 16, 2026
Certificate Expiration DateApril 15, 2028
Laboratory DirectorZulfiqar Ali
Laboratory Phone(910) 491-0801
Laboratory LocationShining Star PLLC (dba Rising Sta Pediatrics)1778 Metromedical Dr, Fayetteville, NC 28304
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. GHANSHYAM PRADYUMNA DWIVEDI MD
Internal Medicine
1778 METROMEDICAL DR
FAYETTEVILLE, NC 28304
Cumberland County (910) 483-4680
KAROL AND HANI LLC
Pediatrics
1778 METROMEDICAL DR
FAYETTEVILLE, NC 28304
Cumberland County (833) 221-4169

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shining Star PLLC's NPI number?

The NPI number for Shining Star PLLC is 1114898822. It was assigned to this organization in the NPPES registry on September 16, 2025.

Where is Shining Star PLLC located?

Shining Star PLLC is located at 1778 Metromedical Dr, Fayetteville, NC 28304. The listed phone number is (833) 221-4169.

What is Shining Star PLLC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Shining Star PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2342268) is associated with this NPI, valid through April 15, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shining Star PLLC was last updated on March 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.